Although popularly sold as a means of reducing overall health-care costs, the creators of the ACA knew that the inclusion of such provisions as the mandatory coverage of pre-existing conditions and the setting of premiums based on average costs rather than actuarial costs would necessarily increase the total cost of such coverage.

FORBES: With or without mandate, Affordable Care Act fails

The average monthly cost for a 256Kbps connection was more than the total hardware and software costs.

UNESCO: Communication and Information

The total cost would then be adjusted based on how sick the patient is and then compared to a national average.

FORBES: Medicare's New Plan To Punish Hospitals For Treating Expensive Patients Will Backfire